小梁切除术联合应用丝裂霉素C及巩膜瓣可拆除缝线治疗青光眼的效果观察

目的：探讨小梁切除术联合应用丝裂霉素C（MMC）及巩膜瓣可拆除缝线对青光眼的治疗效果。方法：对43例60眼各类青光眼随机分为A组20例30眼和B组23例30眼，A组采用小梁切除术联合应用MMC及巩膜瓣可拆除缝线，B组行传统小梁切除术。结果：术后随访7－25个月。手术成功率A组（93．3％）明显高于B组（60％，P＜0．01）；功能性滤过泡A组（93．3％）亦明显高于B组（53％，P＜0．01）；浅前房A组（3．3％）则低于B组（26％，P＜0．05）；低眼压等并发症两组对比无显著性差异。结论：小梁切除术联合应用MMC及巩膜瓣可拆除缝线在提高成功率的同时减少了并发症的发生，为一种安全可靠的青光眼滤过性手术。

Observations on treating glaucoma with trabeculectomy combined with the use of adjunctive mitomycin C and releasable suture of the scleral flap

Objective:To analyse the effect of trabeculectomy combined with the use of adjunctive mitomycin C and releasable suture of the scleral flap in treating glaucoma.Methods:60 eyes of 43 cases with various glaucoma were randomly distributed into tow groups:group A and group B.The patients were treated by trabeculectomy combined with the use of adjunctive mitomycin C and releasable suture of the scleral flap in group A and by routine trabeculectomy in group B.Results:Follow up 7 to 25 months, the rate of surgical success in group A(93 3%)was higher than that in group B(60%,P<0 01),the rate of functional filtering bleds in group A(93 3%)was higher than that in group B(53%,P<0 01)too.The rate of shallow anterior chamber in group A(3 3%)was lower than that in group B(26%,P<0 05).However,other complications such as hypotony were no statistically significant differences between the two groups.Conclusions:This method increased the safety and success ratio of the operation and decreased complications,it could be applied as a new resistant glaucoma operation pattern.